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    R E S E A R C H Open Access

    Vitamin A decreases pre-receptor amplificationof glucocorticoids in obesity: study on the effectof vitamin A on 11beta-hydroxysteroiddehydrogenase type 1 activity in liver andvisceral fat of WNIN/Ob obese ratsVara Prasad SS Sakamuri1, Prashanth Ananthathmakula1, Giridharan Nappan Veettil2 and

    Vajreswari Ayyalasomayajula1*

    Abstract

    Background: 11b-hydroxysteroid dehydrogenase type 1 (11b-HSD1) catalyzes the conversion of inactive

    glucocorticoids to active glucocorticoids and its inhibition ameliorates obesity and metabolic syndrome. So far, no

    studies have reported the effect of dietary vitamin A on 11b-HSD1 activity in visceral fat and liver under normal

    and obese conditions. Here, we studied the effect of chronic feeding of vitamin A-enriched diet (129 mg/kg diet)

    on 11b-HSD1 activity in liver and visceral fat of WNIN/Ob lean and obese rats.

    Methods: Male, 5-month-old, lean and obese rats of WNIN/Ob strain (n = 16 for each phenotype) were divided

    into two subgroups consisting of 8 rats of each phenotype. Control groups received stock diet containing 2.6 mg

    vitamin A/kg diet, where as experimental groups received diet containing 129 mg vitamin A/Kg diet for 20 weeks.

    Food and water were provided ad libitum. At the end of the experiment, tissues were collected and 11b-HSD1

    activity was assayed in liver and visceral fat.Results: Vitamin A supplementation significantly decreased body weight, visceral fat mass and 11b-HSD1 activity in

    visceral fat of WNIN/Ob obese rats. Hepatic 11b-HSD1 activity and gene expression were significantly reduced by

    vitamin A supplementation in both the phenotypes. CCAAT/enhancer binding protein a (C/EBPa), the main

    transcription factor essential for the expression of 11b-HSD1, decreased in liver of vitamin A fed-obese rats, but not

    in lean rats. Liver receptor a (LXRa), a nuclear transcription factor which is known to downregulate 11b-HSD1

    gene expression was significantly increased by vitamin A supplementation in both the phenotypes.

    Conclusions: This study suggests that chronic consumption of vitamin A-enriched diet decreases 11b-HSD1

    activity in liver and visceral fat of WNIN/Ob obese rats. Decreased 11b-HSD1 activity by vitamin A may result in

    decreased levels of active glucocorticoids in adipose tissue and possibly contribute to visceral fat loss in these

    obese rats. Studying the role of various nutrients on the regulation of 11b-HSD1 activity and expression will help in

    the evolving of dietary approaches to treat obesity and insulin resistance.

    * Correspondence: [email protected] of Biochemistry, National Institute of Nutrition, Indian Council

    of Medical Research, Jamai Osmania PO, Hyderabad-500 604, Andhra

    Pradesh, India

    Full list of author information is available at the end of the article

    Sakamuri et al. Nutrition Journal 2011, 10:70

    http://www.nutritionj.com/content/10/1/70

    2011 Sakamuri et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the CreativeCommons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, andreproduction in any medium, provided the original work is properly cited.

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    Background11b-hydroxysteroid dehydrogenase type 1 (11b-HSD1)

    modulates the local glucocorticoid metabolism by cata-

    lyzing the conversion of inactive glucocorticoids (corti-

    sone in humans and 11-dehydrocorticosterone in

    rodents) to active glucocorticoids (cortisol in humans

    and corticosterone in rodents). Recent studies have

    shown that, 11b-HSD1 plays an important role in the

    development of obesity [1,2]. Transgenic mice overex-

    pressing 11b-HSD1 in adipose tissue developed visceral

    obesity [3], where as 11b-HSD1 knock-out mice dis-

    played resistance to diet-induced obesity [4]. Adminis-

    tration of carbenoxolone, a non-selective 11b-HSD1

    inhibitor, has been shown to decrease obesity in animal

    models [5]. 11b-HSD1 gene expression is directly regu-

    lated by CCAAT/enhancer-binding protein a (C/EBPa)

    [6], where as its expression is down regulated by Liver

    receptor a (LXRa) [7].Studies on rodent models of obesity provided valuable

    information regarding the molecular mechanisms

    involved in the development of obesity and its asso-

    ciated complications. WNIN/Ob obese rat colony was

    established by selective breeding of spontaneously

    mutated obese rat, identified in 80 year-old inbred wis-

    tar rat colony at National Institute of Nutrition (NIN,

    Hyderabad, India) [8]. The rat colony shows three phe-

    notypes (also genotypes), lean (+/+), carrier (+/-) and

    obese (-/-). WNIN/Ob lean and carrier rats are fertile,

    where as obese rats are sterile. The obese rat colony is

    maintained by crossing between carrier rats, whichresults in genotypic ratio (and also phenotypic ratio) of

    1:2:1 (lean: carrier: obese) indicating the autosomal co-

    dominant nature of the mutation. WNIN/Ob obese rats

    develop severe obesity with onset around 35 days of age.

    These rats are hyperphagic, hyperinsulinemic, hyperlep-

    tinemic and dyslipidemic [8]. Preliminary studies on

    WNIN/Ob obese rats have revealed no molecular

    defects in leptin and leptin receptor. Recent studies have

    located the mutation on 5th chromosome [unpublished

    data] and further investigations are underway to identify

    the molecular mutation leading to the development of

    obesity in these obese rats.

    Diet plays an important role in the development, pro-gression and amelioration of chronic diseases like obe-

    sity and diabetes. Studies on the effect of nutrients on

    11b-HSD1 activity and expression will greatly help in

    understanding the mechanisms underlying the develop-

    ment of obesity and its associated metabolic disorders.

    Vitamin A, an important micronutrient has divergent

    biological functions in animal physiology. Vitamin A-

    enriched diet has been shown to decrease adiposity and

    alter adipose tissue gene expression in rats [9]. Our pre-

    vious studies on supplementation of high but non-toxic

    dose of vitamin A to obese rats of WNIN/Ob strain

    have shown to decrease adiposity [10,11]. So far, no stu-

    dies have addressed the role of vitamin A in the regula-

    t io n o f 1 1b-HSD1 activity in normal and obese

    conditions. As vitamin A is known to alter the expres-

    sion of genes regulated by C/EBPa [12], here, we

    hypothesize that supra-physiological (high but non-

    toxic) dose of vitamin A modulates 11b-HSD1 activity

    in adipose tissue under normal and obese conditions.

    To test our hypothesis, we studied the activity of 11b-

    HSD1 in visceral fat and liver of WNIN/Ob lean and

    obese rats, after chronic challenging with vitamin A-

    enriched diet (129 mg/Kg diet) for 20 weeks.

    MethodsAnimal experiment

    Male, 5-month-old WNIN/Ob lean and obese rats (n =

    16 for each phenotype) were obtained from the NationalCentre for Laboratory animal sciences, and divided into

    two groups A and B based on phenotype. Each group

    was further divided into two subgroups (AI, AII & BI,

    BII) consisting of 8 rats from each phenotype. The ani-

    mals were housed individually in a temperature (22 2

    C) and light controlled (12 h cycle) animal facility. Ani-

    mals of AI and BI subgroups were fed on stock diet

    containing 2.6 mg of vitamin A/Kg diet (Recommended

    daily allowance), while those in AII and BII subgroups

    were fed on experimental diet containing 129 mg of

    vitamin A/Kg diet (as retinyl palmitate- a generous gift

    from Nicholas Piramal India Limited). Animals were

    maintained on their respective diets for a period of 20

    weeks. Food and water were provided ad libitum. Daily

    food intake and weekly body weights were recorded.

    The study was approved by Institutional Animal Ethical

    Committee (IAEC). At the end of the experiment, blood

    was collected after overnight fast, between 9.00 AM and

    11.00 AM. Animals were sacrificed and tissues were col-

    lected and stored at -80C for further analysis.

    Plasma and tissue parameters

    Plasma corticosterone levels were measured by radioim-

    munoassay (RIA) kit method (Siemens, Los Angeles,

    USA). Plasma, liver and visceral fat retinol levels weremeasured by methods described previously [10].

    Measurement of 11b-HSD1 activity

    11b-HSD1 functions as a reductase in vivo, reactivating

    corticosterone from inactive 11-dehydrocorticosterone.

    However, in tissue homogenates, dehydrogenase activity

    predominates, therefore, 11b-HSD1 activity was measured

    by the conversion of corticosterone to 11-dehydrocorticos-

    terone. We studied 11b-HSD1 activity in visceral fat by

    taking omental adipose tissue, as it is known to exhibit

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    higher enzyme activity. Post-nuclear fractions from liver

    and visceral fat were prepared by centrifuging tissue

    homogenate at 1000 g for 20 min. 11b-HSD1 activity was

    measured in post nuclear fractions of liver and visceral fat

    by incubating in duplicate at 37C in Krebs-Ringer buffer

    containing glucose (0.2%), NADP (1 mM) and 1, 2, 6, 7-

    [3H4] corticosterone (50 nM). Conditions were optimized

    for both tissues to ensure first order kinetics, by adjusting

    protein concentrations for liver (40 g/ml) and omental

    adipose tissue (1 mg/ml). After incubation (40 min for

    liver and 6 h for omental adipose tissue), steroids were

    extracted with ethyl acetate, the organic phase was evapo-

    rated under nitrogen, and extracts resuspended in mobile

    phase (50% water, 30% acetonitrile and 20% methanol).

    Steroids were separated by HPLC using reverse phase C18

    column and fractions containing corticosterone and 11-

    dehydrocorticosterone were collected and radioactivity

    was counted in liquid scintillation counter (PerkinElmer,USA).

    Measurement of glycerol-3-phosphate dehydrogenase

    (GPDH) activity

    50 mg of liver tissue was homogenized in 10 mM Tris-

    Hcl buffer (pH-7.4) containing 1 mM 2-mercaptoetha-

    nol and 5% protease inhibitor cocktail (Sigma, USA).

    Homogenate was centrifuged at 10,000 g for 20 minutes

    at 4C and the supernatant was used for the estimation

    of cytosolic GPDH activity. GPDH activity was mea-

    s ured b y the metho d o f White and Kaplan and

    expressed as nanomoles of NADH utilized/min/mg of

    protein (13).

    Measurement of relative gene expression by semi-

    quantitative Reverse Transcription PCR

    As lean rats have limited omental adipose tissue, which

    we utilized for the enzyme assay, we carried out gene

    expression work only in liver but not in adipose tissue.

    Total cellular RNA from liver was extracted using the

    method of Chomczynski and Sacchi [14]. The integrity

    of RNA was checked using 1% agarose gels stained with

    ethidium bromide. Total RNA was quantified by spec-

    trophotometric absorption at 260 nm. 1.0 g of RNA

    was used for synthesizing first strand cDNA. Thereverse transcription (RT) reaction was carried out by

    incubating RNA with 0.5 g oligo dT primer (Sigma,

    USA) and 100 units of Molony murine leukemia virus

    reverse transcriptase (Finnzymes, Espoo, Finland) at 37

    C for 60 min. Total reaction volume used for RT was

    20 L. An aliquot of cDNA was amplified in a 20 L

    reaction mixture. PCR conditions are given below: dena-

    turation at 94C for 1 minute, annealing at 60-64C for

    45 sec and polymerization for 70 C for 1 min with

    DyNAzyme II DNA polymerase (Finnzymes, Espoo, Fin-

    land). A final extension was carried out at 70 C for 7

    min. The amount of RNA and the annealing tempera-

    ture for different genes were standardized for linearity.

    Sequences of primers used for amplification are 11b-

    HSD1: forward primer-5-GAGGAAGGGCTCCAG-3and reverse primer-5-GAGCAAACTTGCTTGCA-

    3(NM_017080), LXRa: forward primer-5-GCCCCATG-

    GACACCTA-3 and reverse primer-5-TGAGGGTCG

    GGTGCAA-3 (NM_031627), C/EBPa: forward primer-

    5-GAGCCGAGATAAAGCCAA-3 and reverse primer

    5-CTTTCAGGCGACACCA-3 (NM_012524), b-actin:

    forward primer-5- ACCAACTGGGACGACATGGA-3and reverse primer-5- TCTCAAACATGATCTGGG

    TCA-3 (NM_031144). b-actin mRNA was amplified as

    an internal control. Number of amplification cycles for

    each gene was standardized so that amplification will be

    in the logarithmic phase. After amplification, 8 L of

    reaction mixture were electrophoresed on agarose gel

    (2%) in Tris-acetate EDTA buffer (pH 8.2). The ethi-dium bromide stained bands were visualized by UV-

    transilluminator and analyzed densitometrically using

    Quantity One software (Bio-Rad, version 4.4.0).

    Immunoblotting

    Nuclear protein was extracted from liver as described

    previously [15,16]. Protein content was estimated by

    Bradford method. Proteins were separated by 10% SDS-

    PAGE gel and probed by specific antibodies raised

    against C/EBPa and LXRa (Santa Cruz Biotechnology,

    Inc., and Santa Cruz, CA). Equal loading of protein and

    transfer were ensured by staining membranes with Pon-

    seau S. Bands were scanned using GS 710 densitometer

    (Biorad, CA, USA) and band densities were analyzed by

    Quantity one software (Biorad, version 4.4.0).

    Statistics

    Data were analyzed by one way ANOVA by using least

    significant difference (LSD) post hoc test. Data are pre-

    sented as mean S.E. Statistical significance was taken

    at P < 0.05 level (two tailed).

    ResultsEffect of vitamin A supplementation on physical and

    biochemical parametersVitamin A supplementation significantly reduced body

    weight, body weight gain and visceral fat mass in obese

    rats compared to stock diet-fed obese rats (Table 1).

    Vitamin A supplementation did not alter the visceral fat

    mass or body weight in lean rats as compared with their

    stock-diet fed counterparts (Table 1). Food intake was

    not affected by vitamin A supplementation in both the

    phenotypes as compared with their respective control

    groups (Table 1). Consumption of vitamin A-enriched

    diet for 20 weeks significantly increased retinol levels in

    liver and visceral fat of lean and obese rats as compared

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    with their respective stock-diet fed rats (Table 2).

    Plasma corticosterone levels were not altered by vitamin

    A supplementation in both the phenotypes (Table 2).

    Effect of vitamin A supplementation on 11b-HSD1 activity

    in visceral fat

    Vitamin A supplementation significantly decreased 11b-

    HSD1 activity in visceral fat of obese rats as compared

    to stock diet-fed obese rats (Figure 1). In contrast to the

    observation in obese rats, vitamin A supplementation

    significantly increased 11b-HSD1 activity in visceral fat

    of lean rats as compared with their stock diet-fed lean

    counterparts (Figure 1).

    Effect of vitamin A supplementation on hepatic 11b-HSD1

    activity and expression

    Vitamin A supplementation significantly decreased 11b-

    HSD1 activity in the liver of lean and obese rats as

    against their stock diet-fed lean and obese counterparts

    (Figure 2). In line with the decreased enzyme activity,

    11b-HSD1 mRNA levels were significantly lower in high

    vitamin A-fed lean and obese rats as compared with their

    stock diet-fed lean and obese counterparts (Figure 2).

    Effect of vitamin A supplementation on C/EBPa, LXRa

    mRNA and protein levels in liver

    To explain the possible mechanism involved in the vita-

    min-A mediated downregulation of 11b-HSD1 in liver,

    we studied the hepatic expression of C/EBPa and LXRa

    both at mRNA and protein levels. Vitamin A supple-

    mentation significantly increased the hepatic C/EBPa

    gene expression in both the phenotypes (Figure 3) as

    compared with their respective control rats. However,

    elevated hepatic C/EBPa protein levels were observed

    only in vitamin A- supplemented lean rats, where as in

    obese rats, hepatic C/EBPa protein levels were signifi-

    cantly low (Figure 3). Hepatic LXRa mRNA and protein

    levels significantly decreased by feeding of vitamin A

    enriched diet to WNIN/Ob lean and obese rats as com-

    pared with their respective stock diet fed-lean and obese

    counterparts (Figure 4).

    Effect of vitamin A supplementation on hepatic glycerol-

    3-phospahte dehydrogenase (GPDH) activity

    As vitamin A supplementation decreased hepatic 11b-

    HSD1 activity in lean and obese rats, we studied the

    activity of cytosolic glycerol-3-phosphate dehydrogenase(GPDH), which is induced by glucocorticoids in hepato-

    cytes (17). In line with the decreased 11b-HSD1 activity,

    GPDH activity was also significantly decreased by vita-

    min A supplementation in both the phenotypes as com-

    pared with their respective controls (Figure 5).

    DiscussionIn this communication, we report the impact of chronic

    feeding of vitamin A-enriched diet on 11b-HSD1 activity

    in liver and visceral fat of WNIN/Ob obese rats, a new

    genetic rat model of obesity. Here, we demonstrate that

    Table 1 Effect of vitamin A supplementation on food

    intake and physical parameters in WNIN/Ob lean and

    obese rats

    AI AII BI BII

    Pre-treatment body

    weight (g)

    375 16 362 25 628 38 590 11

    Post-treatment bodyweight (g)

    406 23 452 15 916 48 778 19*

    Body weight (g) 91 20 89 14 285 19 188 14#

    Dai ly food intake (g) 18 0.6 18 0.8 26 1.4 26 0.9

    Visceral fat (g/100 gbody.wt)

    2.3 0.4 2 .5 0.4 10.5 0.7 7 .0 0.5#

    Values are mean S.E of 8 rats. Values with # and * mark are significant at P

    < 0.01 and < 0.05 level respectively (by one-way ANOVA). Comparisons were

    made between normal and high vitamin A-fed groups of each phenotype

    (AI-Lean: 2.6 mg vitamin A/Kg diet, AII-Lean: 129 mg vitamin A/Kg diet,

    BI-Obese: 2.6 mg vitamin A/kg diet and BII-Obese: 129 mg vitamin A/kg diet)

    Table 2 Effect of vitamin A supplementation on

    biochemical parameters in WNIN/Ob lean and obese rats

    AI AII BI BII

    Plasma corticosterone(ng/mL)

    227 50 170 15 256 27 287 34

    Plasma retinol (g/dL) 28 0.5 28 0.5 40 0.6 43 2.0

    Liver total retinol(mg/g tissue)

    0.9 0.1 9.8 0.4## 0.4 0.02 8.1 0.3##

    Visceral fat retinol(g/g tissue)

    4.0 1.2 41 2.7## 2.0 0.1 4.8 2.0##

    Values are means S.E of 8 rats. Mean values with## mark are significant at P

    < 0.001 level (by one-way ANOVA). Comparisons were made between normal

    and high vitamin A-fed groups of each phenotype (AI-Lean: 2.6 mg vitamin

    A/kg diet, AII-Lean: 129 mg vitamin A/kg diet, BI-Obese: 2.6 mg vitamin A/kg

    diet and BII-Obese: 129 mg vitamin A/kg diet).

    Figure 1 Effect of vitamin A supplementation on adipose

    tissue 11b-HSD1 activity in WNIN/Ob lean and obese rats .Values are means S.E for 8 rats. Mean values with * mark are

    significant at P 0.05 level (by one-way ANOVA). Comparisons were

    made between normal and high vitamin A-fed groups of each

    phenotype (AI-Lean: 2.6 mg vitamin A/kg diet, AII-Lean: 129 mg

    vitamin A/kg diet, BI-Obese: 2.6 mg vitamin A/kg diet and BII-Obese:

    129 mg/kg diet).

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    feeding of vitamin A-enriched diet to WNIN/Ob obese

    rats decreases body weight, fat mass and 11b-HSD1

    activity in liver and visceral fat. To our knowledge, this

    is the first study to link vitamin A and pre-receptor

    metabolism of glucocorticoids in normal and obese

    conditions.

    Retinoic acid, one of the metabolically-active forms of

    vitamin A, regulates cel lular gene express ion through

    retinoic acid receptors (RARs) and retinoid receptors

    (RXRs). Adipose tissue is a good target organ for vita-

    min A action, as it stores significant amount of vitamin

    A and expresses RAR and RXR transcription factors.

    Retinoic acid is known to inhibit preadipocyte differen-

    tiation [18] and remodel white adipose tissue to brown

    adipose tissue [19]. Retinaldehyde, another functional

    form of vitamin A is reported to decrease adipogenesis

    and ameliorate diet-induced obesity in rodent models

    [20]. In line with our previous observation, high (but

    not toxic) dose of vitamin A decreased visceral fat mass

    and bodyweight in obese rats [10]. Previous studies have

    reported that cortisol (corticosterone in rodents) is

    essential for preadipocyte differentiation [21] and adi-

    pose-specific overexpression of 11b-HSD1 in mice,

    results in increased preadiocyte differentiation [3]. As

    reported previously, WNIN/Ob obese rats have exhib-

    ited higher 11b-HSD1 activity in visceral fat than their

    lean counter parts [22]. In the present study, vitamin A

    significantly decreased 11b-HSD1 activity in visceral fat,

    which is associated with significant decrease in visceral

    fat mass. Vitamin A mediated visceral fat loss in obese

    rats could be due to decreased preadipocyte differentia-

    tion, as reduced 11b-HSD1 activity results in decreased

    tissue corticosterone levels. In contrast to the observa-

    tion in obese rats, vitamin A-challenged lean rats had

    increased 11b-HSD1 activity in visceral fat, however,

    increased enzyme activity had no impact on visceral fat

    mass. The differential effects of vitamin A on 11b-HSD1

    activity and visceral fat mass in lean and obese rats

    could be due to other physiological factors that are

    altered in obese condition.

    Figure 2 (A) Effect of vitamin A supplementation on hepatic 11b-HSD1 activity in WNIN/Ob lean and obese rats . Values are means S.Efor 8 rats. Mean values with * mark are significant at P 0.05 level (by one-way ANOVA). (B) Effect of vitamin A supplementation on 11b-HSD1

    gene expression in liver of WNIN/Ob lean and obese rats. Quantified densitometric values are expressed relative of 1 for lean control rats (AI). (C)

    Representative photo of 11b-HSD1 PCR product, stained by ethidium bromoide. (D) Representative photo of PCR b-Actin product (internal

    control), stained by ethidium bromide. Comparisons were made between normal and high vitamin A-fed groups of each phenotype (AI-Lean:

    2.6 mg vitamin A/kg diet, AII-Lean: 129 mg vitamin A/kg diet, BI-Obese: 2.6 mg vitamin A/kg diet and BII-Obese: 129 mg/kg diet).

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    Vitamin A may regulate the 11b-HSD1 activity, by

    altering its gene expression through direct and indirect

    mechanisms. Presently, retinoic acid-response elements

    are not reported on 11b-HSD1 promoter to support the

    direct effect of vitamin A on 11b-HSD1 gene expression.C/EBPa has been shown to be obligatory for the expres-

    sion of 11b-HSD1 [4]. Previous studies have reported

    that retinoic acid downregulates the expression of genes

    like resistin that are regulated by C/EBPa in adipose tis-

    sue [13]. Vitamin A-mediated regulation of 11b-HSD1

    gene expression in adipose tissue may be mediated by

    indirect mechanism through C/EBPa.

    11b-HSD1 plays an important role in the regulation of

    carbohydrate and lipid metabolism in liver. 11b-HSD1-

    KO mice have improved insulin sensitivity [4], where as

    transgenic overexpression of 11b-HSD1 in liver results

    in the development of impaired glucose tolerance [23].

    WNIN/Ob obese rats have lower hepatic 11b-HSD1

    expression and activity as observed in other obese

    rodent models [22]. In the present study, vitamin A sup-

    plementation at high doses decreased hepatic 11b-HSD1activity and expression in both lean and obese pheno-

    types. Supporting to our hypothesis, activity of GPDH, a

    glucocorticoid inducible enzyme, was also decreased in

    vitamin A supplemented lean and obese rats. Based on

    these observations, it is possible that vitamin A may reg-

    ulate the expression of hepatic glucocorticoid target

    genes by regulating the expression of 11b-HSD1.

    To understand the possible mechanisms involved in

    the downregulation of 11b-HSD1 in liver, we studied

    the expression of C/EBPa at mRNA and protein levels.

    In our study, vitamin A supplementation increased

    Figure 3 (A) Effect of vitamin A supplementation on hepatic C/EBPa mRNA and protein levels in WNIN/Ob lean and obese rats.Quantified densitometric values are expressed relative of 1 for lean control rats (AI). (B) Representative photo of C/EBPa PCR product, stained by

    ethidium bromoide. (C) Representative photo ofb-Actin PCR product (internal control), stained by ethidium bromide. (D) Quantified

    densitometric values from the western blot are expressed relative of 1 for A-I (lean) as control. (E) Representative Western blot of hepatic C/EBPa

    protein. (F) Ponseau stained western blot. Values are means SE for 3-4 rats at P 0.05 level. Comparisons were made between normal and

    high vitamin A-fed groups of each phenotype (AI-Lean: 2.6 mg vitamin A/kg diet, AII-Lean: 129 mg vitamin A/kg diet, BI-Obese: 2.6 mg vitamin

    A/kg diet and BII-Obese: 129 mg/kg diet).

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    hepatic C/EBPa gene expression in vitamin A-treated

    lean and obese rats. In contrast to increased mRNA

    levels, C/EBPa protein levels decreased in vitamin A-

    supplemented obese rats, suggesting the role of post-

    transcriptional regulatory mechanisms. Possibly, vitaminA-mediated downregulation of hepatic 11b-HSD1 is

    mediated through different mechanisms in lean and

    obese rats, in other words, vitamin A-mediated down

    regulation of hepatic 11b-HSD1 may be C/EBPa-depen-

    dent in obese rats, while it is independent of C/EBPa in

    lean rats.

    Previous studies have reported that LXRa ligands

    down regulate 11b-HSD1 through indirect mechanisms

    [7]. In this study, vitamin A supplementation increased

    hepatic LXRa mRNA and protein levels in WNIN/Ob

    lean and obese rats. In support to the elevated LXRa

    Figure 4 (A) Effect of vitamin A supplementation on hepatic LXRa mRNA and protein levels in WNIN/Ob lean and obese rats.Quantified densitometric values are expressed relative of 1 for AI (lean) as control. (B) Representative photo of LXRa PCR product, stained by

    ethidium bromoide. (C) Representative photo ofb-Actin PCR product (internal control), stained by ethidium bromide. (D) Quantified

    densitometric values from the western blot are expressed relative of 1 for lean control rats (AI). (E) Representative Western blot of hepatic LXR a

    protein. (F) Ponseau stained western blot. Values are means SE for 3-4 rats at P 0.05 level. Comparisons were made between normal and

    high vitamin A-fed groups of each phenotype (A I-Lean: 2.6 mg vitamin A/kg diet, A II-Lean: 129 mg vitamin A/kg diet, B I-Obese: 2.6 mg

    vitamin A/kg diet and B II-Obese: 129 mg/g diet).

    Figure 5 Effect of vitamin A supplementation on hepatic GPDH

    activity in WNIN/Ob lean and obese rats. Activity was reported as

    nmoles of NADH utilized/min/mg protein. Values are means SE

    for 8 rats at P 0.05 level. Comparisons were made between normal

    and high vitamin A-fed groups of each phenotype (AI-Lean: 2.6 mg

    vitamin A/kg diet, AII-Lean: 129 mg vitamin A/kg diet, BI-Obese: 2.6

    mg vitamin A/kg diet and BII-Obese: 129 mg/kg diet).

    Sakamuri et al. Nutrition Journal 2011, 10:70

    http://www.nutritionj.com/content/10/1/70

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    gene expression, ABCA1 (ATP-binding cassette trans-

    porter protein 1), a classical target gene of LXRa is ele-

    vated in lean and obese rats (unpublished data). Vitamin

    A-mediated downregulation of hepatic 11b-HSD1 gene

    expression is may be mediated through LXRa. Another

    mechanism, through which dietary vitamin A may down

    regulate 11b-HSD1, is by providing high concentration

    of RXR ligand, 9-cis-retinoic acid. LXRa forms heterodi-

    mer with RXR and this step is essential for LXRa-

    mediated gene transcription. Higher concentration of

    RXR ligand may result in the increased recruitment of

    LXRa:RXR heterodimers to 11b-HSD1 gene promoter

    resulting in decreased 11b-HSD1 gene expression.

    11b-HSD1 gene expression in liver and adipose tissue

    is also regulated by various hormones and cytokines

    present in the plasma [24]. It is possible that Vitamin

    A-mediated alterations in the levels of these signaling

    molecules may also affect the 11b-HSD1 activity in liverand adipose tissue of WNIN/Ob lean and obese rats.

    ConclusionsIn summary, we showed for the first time that supra-

    physiological dose of vitamin A through diet decreases

    11b-HSD1 activity in visceral fat and liver of WNIN/Ob

    obese rat. The observed vitamin A-mediated reduction

    in 11b-HSD1 activity in the visceral fat of obese rats

    may contribute to the decreased visceral fat mass in this

    model. Further research is needed to understand the

    mechanisms involved in the regulation of 11b-HSD1 by

    various nutrients in tissues like liver and visceral fat in

    order to develop appropriate dietary interventions to

    prevent the development of obesity and insulin

    resistance.

    List of abbreviations used

    11-HSD1: 11-hydroxysteroid dehydrogenase type 1; C/EBP: CCAAT/

    Enhancer-binding protein ; LXR: Liver receptor ; RXR: Retinoid

    receptor; RAR: Retinoic acid receptor; HPLC: High-performance liquidchromatography; SDS-PAGE: Sodium dodecyl sulphate- polyacrylamide gel

    electrophoresis.

    Acknowledgements

    We are grateful to Dr.B.Sesikeran, Director, of the Institute for constant

    encouragement during the conduct of the study. Mr.S.S.S.V.Prasad thanks the

    Council for Scientific and Industrial Research (CSIR), India for the award of aresearch fellowship to carryout this work.

    Author details1Department of Biochemistry, National Institute of Nutrition, Indian Council

    of Medical Research, Jamai Osmania PO, Hyderabad-500 604, Andhra

    Pradesh, India. 2National Center for Laboratory Animal Sciences, IndianCouncil of Medical Research, Jamai Osmania PO, Hyderabad-500 604, Andhra

    Pradesh, India.

    Authors contributionsSSSVP carried out plasma corticosterone and 11-HSD1 assays, gene

    expression work, data analysis and prepared the first draft. PA carried out

    the animal experiment, immunoblotting work, estimated retinol, GPDH

    activity, data analysis and manuscript editing. GNV was responsible for

    breeding and supply of animals. VA hypothesized, designed and supervisedthe experiment. VA reviewed, finalized the draft and also gave permission to

    submit manuscript. All authors read and approved the content of the

    manuscript.

    Competing interests

    The authors declare that they have no competing interests.

    Received: 2 August 2010 Accepted: 23 June 2011

    Published: 23 June 2011

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    doi:10.1186/1475-2891-10-70Cite this article as: Sakamuri et al.: Vitamin A decreases pre-receptoramplification of glucocorticoids in obesity: study on the effect ofvitamin A on 11beta-hydroxysteroid dehydrogenase type 1 activity inliver and visceral fat of WNIN/Ob obese rats. Nutrition Journal 2011 10:70.

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